Organization
ROBERT ODELL M.D., PH.D. MEDICAL ENTERPRISES
Active
Other names
New Vision Neuropathy and Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT H ODELL JR. M.D. (OWNER)
(702) 257-7246
Entity
Organization
Contact information
Practice address
8084 W SAHARA AVE, SUITE E, LAS VEGAS, NV 89117-2073
(702) 257-7246
Mailing address
8084 W SAHARA AVE, SUITE E, LAS VEGAS, NV 89117-2073
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
479
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021279
STATE LICENSE
NV
Enumeration date
10/25/2012
Last updated
10/25/2012
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